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General NPI Number Information
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NPI Number | 1649185448
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Entity Type | Individual
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Provider Name | SNEHA SIVAKUMAR PTA
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Gender |
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Dates
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Enumeration Date | 08/17/2026
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 326 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10451-5602
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Country | US
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Telephone | 718-928-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 10 TROY ST
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City | EDISON
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State | NJ
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Zip | 08820-2421
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Country | US
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Telephone | 848-247-8823
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 015422
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License Number State | NY
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